Provider Demographics
NPI:1821133943
Name:ZIMMERMAN, ROSEMARY ELIZABETH (DC)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:ELIZABETH
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36285 S DESERT SUN DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-1355
Mailing Address - Country:US
Mailing Address - Phone:520-360-4883
Mailing Address - Fax:907-297-3076
Practice Address - Street 1:36285 S DESERT SUN DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85739-1355
Practice Address - Country:US
Practice Address - Phone:520-360-4883
Practice Address - Fax:907-297-3076
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA195111N00000X
AZ8391111NS0005X
AZ565111NS0005X
AZ5027111NS0005X
CO0007050111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor